Background. Stomal recurrence after total laryngectomy is 1 of the most serious issues in head and neck surgery, both because of the complexity of its management and because of its morbidity. Prior to the introduction of free-tissue transfer, mediastinal tracheostomy has been the standard reconstructive procedure with high rate of complications. The ideal reconstructive solution to these problems must provide well-vascularized soft tissues that can cover the defect after resection and also allow suturing of the tracheal remnant to skin edges without tension. Methods and Results. We describe a case of a 56-year-old man with stomal recurrence after total laryngectomy treated by the use of a tubed anterolateral thigh (ALT) flap to elongate the shortened trachea and simultaneously cover the cervical skin defect. Conclusions. The ALT can be accepted as an ideal free-flap choice for stomal recurrence, because it has maximal reconstructive capacity and produces minimal donor-site morbidity. © 2009 Wiley Periodicals, Inc.

Anterolateral thigh free flap for tracheal reconstruction after parastomal recurrence / Caliceti, Umberto; Piccin, Ottavio*; Cavicchi, Ottavio; Contedini, Federico; Cipriani, Riccardo. - In: HEAD & NECK. - ISSN 1043-3074. - STAMPA. - 31:8(2009), pp. 1107-1111. [10.1002/hed.20992]

Anterolateral thigh free flap for tracheal reconstruction after parastomal recurrence

Caliceti, Umberto;Piccin, Ottavio;Cavicchi, Ottavio;
2009

Abstract

Background. Stomal recurrence after total laryngectomy is 1 of the most serious issues in head and neck surgery, both because of the complexity of its management and because of its morbidity. Prior to the introduction of free-tissue transfer, mediastinal tracheostomy has been the standard reconstructive procedure with high rate of complications. The ideal reconstructive solution to these problems must provide well-vascularized soft tissues that can cover the defect after resection and also allow suturing of the tracheal remnant to skin edges without tension. Methods and Results. We describe a case of a 56-year-old man with stomal recurrence after total laryngectomy treated by the use of a tubed anterolateral thigh (ALT) flap to elongate the shortened trachea and simultaneously cover the cervical skin defect. Conclusions. The ALT can be accepted as an ideal free-flap choice for stomal recurrence, because it has maximal reconstructive capacity and produces minimal donor-site morbidity. © 2009 Wiley Periodicals, Inc.
2009
Anterolateral thigh free flap for tracheal reconstruction after parastomal recurrence / Caliceti, Umberto; Piccin, Ottavio*; Cavicchi, Ottavio; Contedini, Federico; Cipriani, Riccardo. - In: HEAD & NECK. - ISSN 1043-3074. - STAMPA. - 31:8(2009), pp. 1107-1111. [10.1002/hed.20992]
Caliceti, Umberto; Piccin, Ottavio*; Cavicchi, Ottavio; Contedini, Federico; Cipriani, Riccardo
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11585/664134
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